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Text File  |  1992-11-09  |  906b  |  33 lines
  1. QuikCal Order Form:
  2.  
  3. Make check or money order payable to:
  4.  
  5.                                 Alan Johnson
  6.                                 124 Haywood Drive
  7.                                 E. Brookfield, MA 01515
  8.                                 (508) 867-9834
  9.                                 CompuServe: 76120,556
  10.  
  11.  
  12. Name:            ________________________________________
  13. Address:         ________________________________________
  14. Address:         ________________________________________
  15. City, ST, Zip:   ________________________________________
  16.  
  17. Quantity of QuikCal @ $9.95 (US) each: ____        Dollar Total: __________
  18. If Massachusetts residence, 5% Sales Tax:                        __________
  19. TOTAL AMOUNT ENCLOSED:                                           __________
  20.  
  21.  
  22. We thank you for your order!
  23.  
  24. I prefer:
  25. ___ 5 1/4" diskette
  26. ___ 3 1/2" diskette
  27.  
  28. I received QuikCal from:
  29. ___ Shareware Vendor
  30. ___ CompuServe
  31. ___ Genie
  32. ___ Other On-line or Bulletin Board service: ___________________
  33.